SRTC Quiz Chap 28

Which of the following is the most accurate definition of anemia?

• The loss of the kidneys' ability to filter the blood and remove toxins and excess fluid from the body

• A lack of a normal number of red blood cells in the circulation

• The process by which toxins and excess fluid are removed from the body by a medical system independent of the kidneys

• An inherited disease in which a genetic defect in the hemoglobin results in abnormal structure of the red blood cells

What is continuous ambulatory peritoneal dialysis?

• A mechanical process for peritoneal dialysis in which a machine fills and empties the abdominal cavity of dialysis solution

• A gravity exchange process for peritoneal dialysis in which a bag of dialysis fluid is raised above the level of an abdominal catheter to fill the abdominal cavity and lowered below the level of the abdominal catheter to drain the fluid out

• A gravity exchange process for peritoneal dialysis in which a bag of dialysis fluid is lowered below the level of an abdominal catheter to fill the abdominal cavity and raised above the level of the abdominal catheter to drain the fluid out

• A type of dialysis that is performed while walking

Which of the following medications does not interfere with the blood-clotting process?

• Clopidogrel

• Acetaminophen

• Warfarin

• Aspirin

Which of the following organs may be seriously damaged in sickle cell anemia, subsequently leading to severe infections?

• Lungs

• Liver

• Kidneys

• Spleen

Because of abnormally shaped hemoglobin, sickle cell anemia (SCA) patients may occasionally experience ________, causing a blockage of small blood vessels.

• clumping

• aggregation

• clotting

• sludging

You are dispatched to a private residence for a 52-year-old African American male sitting in his living room complaining of chest pain. During your assessment, he discloses that he has the sickle cell trait. Because of this you should:

• be prepared to treat for shock if he also has a high fever.

• administer high-concentration oxygen.

• monitor for signs of inadequate respiration.

• treat the patient as any other 52-year-old with chest pain.

What is one of the most common diseases to affect the renal and urinary system?

• kidney stones

• End-stage renal disease

• Urinary tract infections

• Acute renal failure

The kidney's major function(s) include(s):

• excreting urea.

• maintaining blood volume.

• balancing electrolytes.

• All of the above

There are two main types of dialysis, hemodialysis and peritoneal dialysis. The main difference between them is:

• hemodialysis is usually done at home and peritoneal dialysis is usually done at a special facility.

• hemodialysis filters the blood and peritoneal dialysis filters the urine.

• hemodialysis is usually done at a special facility and peritoneal dialysis is usually done at home.

• hemodialysis filters the urine and peritoneal dialysis filters the blood.

You are dispatched to a private residence for a sick person. You arrive and find a 47-year-old male patient who recently completed his peritoneal dialysis and complains of severe abdominal pain that is worsened by movement. One of the more serious complications of this type of dialysis is a bacterial infection within the peritoneal cavity. What would be the tell-tale sign that this is what is happening in this case?

• The patient has trouble urinating.

• The patient's dialysis fluid appears clear when it is drained from the peritoneal cavity rather than having its normal cloudy appearance.

• The patient's dialysis fluid appears cloudy when it is drained from the peritoneal cavity rather than having its normal clear appearance.

• The patient has swollen ankles.